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General NPI Number Information
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NPI Number | 1457769879
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Entity Type | Organization
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Legal Business Name | LMG PHYSICAL THERAPY
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Dates
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Enumeration Date | 07/29/2014
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Last Update Date | 07/29/2014
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Provider Practice Location Address
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Address Line | 2600 BELLE CHASSE HWY SUITE I
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City | TERRYTOWN
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State | LA
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Zip | 70056-7156
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Country | US
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Telephone | 504-391-7670
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Fax |
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Provider Business Mailing Address
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Address Line | 2600 BELLE CHASSE HWY SUITE I
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City | TERRYTOWN
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State | LA
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Zip | 70056-7156
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Country | US
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Telephone | 504-391-7670
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | SUSAN WHITNEY
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Credential |
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Telephone | 504-391-7670
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State |
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